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<p class="ql-align-justify">1- Polypoid lesion formed of hyperplastic intact colonic glands with preserved mucigenic activity. Stroma is fibrotic and shows moderate chronic inflammatory reaction composed of lymphocytes, neutrophils and plasma cells. No evidence of specific granulomas. No evidence of crypt abscesses. No evidence of atypia or malignancy.</p><p class="ql-align-justify">2- Ileal mucosa shows broadening with focal flattening of villi indicating atrophy. Submucosa is moderately infiltrated by lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy. Picture is consistent with celiac disease.</p>
<p class="ql-align-justify">Terminal ileum multinodularity with small colonic polyp.</p>
<p>Two biopsies were received:</p><p class="ql-align-justify">1- Colonic polyp: soft tissue fragment measured measured 0.4 cm, totally embedded.</p><p class="ql-align-justify">2- Terminal ileum biopsy: soft tissue fragments collectively measured 0.6 cm.</p>
<h3><em><u>1- </u></em><strong><em><u>Colonic biopsy, endoscopic biopsy: </u></em></strong></h3><ul><li><strong>Hyperplastic polyp, Inflamed.</strong></li><li><strong>Negative for malignancy.</strong></li></ul><h3><strong><em><u>2- Terminal ileum, endoscopic biopsy</u></em></strong><em><u>:</u></em></h3><ul><li><strong>Moderate chronic non-specific inflammation with focal moderate villous atrophy, consistent with celiac disease. </strong></li><li><strong>Modified Marsh-Oberhuber classification, grade B1.</strong></li></ul><h6><br></h6><h5><strong><u>COMMENT:</u></strong></h5><h5><strong>Confirmatory correlation with clinical and laboratory chemical investigations is advised.</strong></h5>
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